Individual
DR. IRFAN MOHAMMAD ALTAFULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B., B.S.
Contact information
Practice address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
(763) 287-2310
Mailing address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
(763) 287-2310
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
31625
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265046
PREFERRED ONE
MN
01
—
0522654
MEDICA
MN
01
—
100277C029
UCARE
MN
01
—
130006223
RAILROAD MEDICARE
MN
05
—
1437103629
—
MN
01
—
1D717AL
BCBS OF MN
MN
01
—
22781
AMERICA'S PPO
MN
05
—
31739300
—
WI
01
—
HP12787
HEALTHPARTNERS
MN
Enumeration date
05/20/2006
Last updated
05/17/2022
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